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psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill
July 29, 2020 - When serious adverse events such as death are reported, they are typically associated with poor patient … safety. … safety imperative. … Related Resources
Annual Perspective
Improving Diagnostic Safety … adverse events, adverse drug events, and quality of life in older patients: an observational study.
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www.ahrq.gov/sites/default/files/2024-01/malone-report.pdf
January 01, 2024 - The overarching goal of the conference series was to improve patient safety through the
appropriate … net and will, ultimately, lead to improved medication use and
patient safety throughout the nation. … Patient care and safety are best achieved when all
members of the team have knowledge of what other … age, lab results) to improve DDI alerts33-36
Patient-focused CDS and
ADE Surveillance
• How patients … Medical Teamwork and Patient Safety: The Evidence-based Relation. July 2005.
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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - Starting therapy in an elderly patient with a single agent is generally a safer strategy, and many patients … This case highlights many important opportunities to improve medication safety in older patients, including … Safety issues may arise soon after hospital discharge due to discontinuities in care or communication … ISMP Medication Safety Alert! Institute for Safe Medication Practices Web site. … Resources From the Same Author(s)
Perspective
Medication Safety
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www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim1.html
July 01, 2013 - At any given time, HAIs affect 1 out of every 20 hospital patients. The U.S. … Educational Trust and its partners, the Michigan Health & Hospital Association's Keystone Center for Patient … Safety & Quality, St. … Measures related to safety culture are key to assessing project-related improvements in patient safety … Safety Culture and the Team Checkup Tool.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
October 01, 2011 - activity (e.g., post-operative setting)
Safe monitoring of response to therapy (e.g., physiological safety … Early activity is feasible and safe in respiratory failure patients. … Managing the patient on mechanical ventilation in ICU: early mobility and walking program. … Managing the patient on mechanical ventilation in ICU: early mobility and walking program. … Managing the patient on mechanical ventilation in ICU: early mobility and walking program.
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psnet.ahrq.gov/web-mm/milliliters-vs-milligrams
September 01, 2004 - A medication safety goal should be the preparation of patient-specific doses for all patients: infants … These costs must be balanced by the associated improvements in patient safety. … Patient Safety. Bethesda, MD: American Society of Health-System Pharmacists Web site. … April 7, 2019
Patient safety: a consumer's perspective. … August 3, 2022
Sensemaking of patient safety risks and hazards.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/003-ss-antimicrobial-prophylaxis-part-2-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA
Prevention: Targeting SSI
Antimicrobial Prophylaxis: Part 2 Beyond the … The next slide will review additional evidence about the efficacy and safety of topical administration … Due to the uncertain safety and efficacy of the practice, the ASHP and CDC guidelines recommend against … Based on the current data, it appears to still be an unresolved issue, one where safety and efficacy … Open and educated communication is key to creating a culture of safety, where these defects are less
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psnet.ahrq.gov/issue/effect-electronic-transmission-prescriptions-dispensing-errors-and-prescription-enhancements
December 16, 2020 - April 14, 2011
Multiple component patient safety intervention in English hospitals: controlled … February 23, 2011
Exploring safety systems for dispensing in community pharmacies: focusing … February 26, 2014
e-Prescribing: characterisation of patient safety hazards in community … More
See More About The Topic
Outpatient Pharmacy
Pharmacists
Quality and Safety
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effectivehealthcare.ahrq.gov/sites/default/files/s16.pdf
October 01, 2007 - evidence is centered on the protocol-driven ran-
domized trials, which the FDA requires to establish safety … information from
industry-funded trials may remain unpublished, limiting the
ability to examine potential safety … carefully studied in trials (especially rare or
slow emerging harms); explore sources of heterogeneity in
safety … may depend on severity of
strokes, patient preferences. … patients; audits could examine the rates at which
women and patients over age 80 are undergoing surgery
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effectivehealthcare.ahrq.gov/sites/default/files/depression-horizon-scan-high-impact-1412.pdf
December 01, 2014 - Adoption could be limited by ketamine’s
cost, inconsistent clinical trial data, and safety risks, multiple … But one expert with a research
5
background, citing ketamine’s safety risk and lack of long-term … be limited; these experts cited ketamine’s safety risks and lack of robust clinical
trial data as … In
contrast, scopolamine’s known safety profile and possible oral and patch delivery options, bolstered … A
study to evaluate the safety and efficacy of
intranasal esketamine in treatment-resistant
depression
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psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
March 27, 2024 - The pharmacy department should regularly review and update this list as part of its patient safety efforts … Patient Safety Primer: Alert Fatigue. Patient Safety Network 2019. … January 23, 2019
Patient safety in developing countries: retrospective estimation of … March 29, 2012
Measures of patient safety in developing and emerging countries: a review … April 14, 2021
Patient safety research: an overview of the global evidence.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/ssi_investigation.docx
January 01, 2017 - Infection Investigation Tool
Introduction
Problem Statement
Your team cannot always predict which patients … program or Comprehensive Unit-based Safety Program (CUSP) meeting. … SSI Investigation Tool 2
AHRQ Safety Program for Surgery
Data Table
QUESTION
DATA
Patient name … Did the patient use a mechanical bowel preparation and oral antibiotics preoperatively? … Did the patient use chlorhexidine washcloths prior to surgery?
Yes No
6.
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digital.ahrq.gov/ahrq-funded-projects/core-functionality-pediatric-ehrs
January 01, 2023 - support the work of child health care providers and support the delivery of quality care to pediatric patients … medication dosing, pediatric disease management, pediatric norms, and the relationship between pediatric patients … that if these functionalities are implemented well, the EHR also will better support the care of all patients … pediatric functionalities for EHRs are currently driven by (1) Meaningful Use requirements and the patient-centered … medical home; (2) a desire to support and maintain patient safety; and (3) the increasing presence of
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www.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
January 01, 2024 - and family empowerment, and ultimately patient safety. … Connecting Patients and Clinicians: The
Anticipated Effects of Open Notes on Patient Safety and Quality … to improve medication safety: the Patient Gateway medications module. … Contribution of the IMIA Health Informatics for Patient Safety
Working Group. … What stands in the way of technology-mediated patient safety improvements?
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www.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirement4.html
February 01, 2014 - preventive care for women and adolescent girls, prenatal care, pediatric use of the emergency department, patient … safety, and followup care for behavioral health and mental illness.
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psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary
February 15, 2011 - poor satisfaction with current management strategies, and the need for a tool that both helps generate patient … February 18, 2011
Effect of bar-code technology on the safety of medication administration … January 9, 2008
Patient safety concerns arising from test results that return after hospital … January 15, 2025
Patient safety in actioning and communicating blood test results in
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effectivehealthcare.ahrq.gov/sites/default/files/s58.pdf
October 01, 2007 - PhD*‡
Abstract: Medicaid claims and eligibility data, particularly when
linked to other sources of patient-level … Sensitivity
represents the algorithm’s effectiveness in classifying diag-
nosis-positive clients (based … Specificity is the
detection algorithm’s capacity to classify diagnosis-negative
clients as diagnosis … Careful construction and validation of diagnostic indicators and
clinical classifications from claims … Available at: http://www.
fda.gov/medwatch/safety/2006/safety06.htm#chronological.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role1.html
September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design
Introduction … Previous Page Next Page
Table of Contents
The Patient’s Role in Diagnostic Safety … concerns are too often the last to be considered. 3 , 4 The issues surrounding diagnostic error, quality, safety … Limited attention to the patient’s role in diagnostic safety is perpetuated in how we identify diagnostic … Patient satisfaction surveys.
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psnet.ahrq.gov/issue/spike-fatal-medication-errors-beginning-each-month
January 26, 2022 - Effects on resident work hours, sleep duration and work experience in a Randomized Order Safety … June 9, 2011
Effect of genetic diagnosis on patients with previously undiagnosed disease … All consumer medication information is not created equal: implications for medication safety … March 27, 2013
Diagramming patients' views of root causes of adverse drug events in ambulatory
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psnet.ahrq.gov/issue/nature-and-occurrence-registration-errors-emergency-department
September 28, 2016 - This study describes several instances of near misses that occurred due to patient misidentification … , such as physicians being unable to access previous test results because—unknown to them—the patient … Previous studies in adult and pediatric inpatients have also identified patient misidentification … December 10, 2014
Patient safety in the ED. … View More
See More About The Topic
Emergency Departments
Quality and Safety